Individual provider Active NPI

Fabio David Pereira, PA-C

  • Physician Assistant
  • Hialeah, FL
National Provider Identifier
1407306699
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9109957 Issued in FL
Practice address
461 E 51St St
Hialeah, FL 33013-1542
Phone
(305) 815-3848
NPI assigned
Oct 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9109957 FL Primary

Addresses

Primary practice location

461 E 51St St
Hialeah, FL 33013-1542

Mailing address

461 E 51St St
Hialeah, FL 33013-1542
Phone (305) 815-3848

Other practice location 1

680 N University Dr
100
Pembroke Pines, FL 33024-6738
Phone (954) 538-6868

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170313001287 FL Practitioner - Physician Assistant 1254615230 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Orlando Carenow Urgent Care LLCGroup PAC ID 1759666050, 57 clinicians

Practice addresses (Care Compare)

1050 Old Camp Rd
Suite 282
The Villages, FL 32162-1762
Phone (352) 693-3378

1328 N Woodland Blvd
Deland, FL 32720-2203
Phone (386) 738-0574

13935 Landstar Blvd
Suite 150
Orlando, FL 32824-5533
Phone (615) 373-7600

410 E Altamonte Dr
Suite 1020
Altamonte Springs, FL 32701-4657
Phone (615) 373-7600

4670 Marigold Ave
Poinciana, FL 34758-4336
Phone (689) 299-0695

5102 Sr
Suite 46
Sanford, FL 32771-9336
Phone (407) 410-8670

628 Cagan View Rd
Clermont, FL 34714-6566
Phone (352) 242-1988

805 County Rd
Suite 466
Lady Lake, FL 32159-4205
Phone (352) 674-9218

8972 Turkey Lake Rd
Orlando, FL 32819-7377
Phone (407) 226-1906

92 E Mitchell Hammock Rd
Suite 1006
Oviedo, FL 32765-9756
Phone (615) 373-7600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
MD Now Medical Centers Inc CurrentSince Jan 18, 2017 Accepting new patients
Heathrow Internal Medicine LLC Past Accepting new patients

Locations

4570 Lantana Rd
Lake Worth, FL 33463
Phone (305) 949-4141

1770 NE Miami Gardens Dr
North Miami Beach, FL 33179
Phone (305) 949-4141

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1407306699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "461 E 51ST ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131542",
            "telephone_number": "305-815-3848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 E 51ST ST",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330131542",
            "telephone_number": "305-815-3848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 N University Dr",
            "address_2": "100",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330246738",
            "country_code": "US",
            "telephone_number": "954-538-6868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "FABIO",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-11",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9109957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.